<!--
  ========================LICENSE_START=================================
  screenit-web
  %%
  Copyright (C) 2012 - 2020 Facilitaire Samenwerking Bevolkingsonderzoek
  %%
  This program is free software: you can redistribute it and/or modify
  it under the terms of the GNU Affero General Public License as published by
  the Free Software Foundation, either version 3 of the License, or
  (at your option) any later version.
  
  This program is distributed in the hope that it will be useful,
  but WITHOUT ANY WARRANTY; without even the implied warranty of
  MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
  GNU General Public License for more details.
  
  You should have received a copy of the GNU Affero General Public License
  along with this program.  If not, see <http://www.gnu.org/licenses/>.
  =========================LICENSE_END==================================
  -->
<html xmlns:wicket="http://wicket.apache.org">
<wicket:panel>
    <fieldset class="form-horizontal">
        <h3 wicket:id="title">Afspraak uitstellen</h3>

        <div class="control-group value">
            <label class="control-label">Standplaats</label>
            <div class="controls">
                <span wicket:id="standplaats.naam">Zevenaar</span>
                <a wicket:id="wijzigMoment">wijzigen</a></div>
        </div>
        <div class="control-group value">
            <label class="control-label">Screeningseenheid</label>
            <div class="controls" wicket:id="screeningsEenheid">SE01</div>
        </div>
        <div class="control-group value">
            <label class="control-label">Locatie</label>
            <div class="controls">
                <span wicket:id="adres">Bakkerstraat 2, 1825 CR Zevenaar</span>
                <span wicket:id="tijdelijk">(tijdelijk)</span>
            </div>
        </div>
        <div class="control-group">
            <div class="controls" wicket:id="locatiebeschrijving">Locatiebeschrijving</div>
        </div>
        <div class="control-group value">
            <label class="control-label"><wicket:message key="mamma.uitstel.steefdatum.label">Streefdatum</wicket:message></label>
        	<div class="controls">
        		<div class="input-append">
		            <input wicket:id="streefDatum" class="datum streefDatum" type="text" value="">
		            <a href="javascript:void(0);" class="btn" onclick="$(this).parent().find('.streefDatum').datepicker('show');return false;" title="Datum"
				    	tabindex="-1"><i class="icon-calendar"></i></a>
			    </div>
		   	</div>
        </div>
        <wicket:enclosure child="clientContact">
        <div class="control-group value">
            <label class="control-label">Contact met client</label>

            <div class="controls">
                <input wicket:id="clientContact" type="checkbox"/>
            </div>
        </div>
        </wicket:enclosure>
        <div class="control-group value">
            <label class="control-label">Bevestigingsbrief aanmaken</label>

            <div class="controls">
                <input wicket:id="briefAanmaken" type="checkbox"/>
            </div>
        </div>
    </fieldset>
</wicket:panel>
</html>
